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南非茨瓦内市医疗保健机构中初产妇的生活经历和社会支持需求。

The lived experiences and social support needs of first-time mothers at health care facilities in the City of Tshwane, South Africa.

作者信息

Masala-Chokwe Mmajapi E T, Ramukumba Tendani S

机构信息

Adelaide Tambo School of Nursing Science, Tshwane University of Technology.

出版信息

Curationis. 2017 Sep 22;40(1):e1-e8. doi: 10.4102/curationis.v40i1.1680.

Abstract

BACKGROUND

Social support refers to the assistance people receive from others, and it is divided into four types of support. Given the increasing mortality and morbidity rates of mothers and neonates postpartum, this study intended to determine whether the social support needs of the first-time mothers were met after early discharge from health care facilities.

OBJECTIVES

The objective of the study was to explore the lived experiences and social support needs of the first-time mothers after an early discharge from health care facilities in the City of Tshwane, Gauteng.

METHOD

A qualitative explorative study was conducted to explore the lived experiences and social support needs of the first-time mothers. The population were first-time mothers who had a vaginal delivery and were discharged within 6-12 hours of delivery from health care facilities. Purposive sampling was performed and 14 semi-structured interviews were conducted, with those mothers who came for the prescribed three postnatal check-ups at the three health care facilities identified according to maternity services provided. Saturation of data for the three health care facilities was reached at the 14th interview. Data analysis was performed using the hermeneutic interpretive approach.

RESULTS

Almost all participants had completed grades 11 or 12, but most were unemployed. The needs identified included the need for social support, lack of confidence, knowledge and skill to care for themselves and their newborn babies after early discharge.

CONCLUSION

There is need to identify alternative types of social support for the first-time mothers, to ensure a normal adjustment to motherhood.

摘要

背景

社会支持是指人们从他人那里获得的帮助,它分为四种支持类型。鉴于产后母亲和新生儿的死亡率和发病率不断上升,本研究旨在确定首次生育母亲在从医疗机构提前出院后,其社会支持需求是否得到满足。

目的

本研究的目的是探索豪登省茨瓦内市首次生育母亲在从医疗机构提前出院后的生活经历和社会支持需求。

方法

开展了一项定性探索性研究,以探究首次生育母亲的生活经历和社会支持需求。研究对象是经阴道分娩且在分娩后6至12小时内从医疗机构出院的首次生育母亲。采用目的抽样法,进行了14次半结构式访谈,访谈对象是那些按照所提供的产妇服务在三家医疗机构前来进行规定的三次产后检查的母亲。在第14次访谈时,三家医疗机构的数据达到饱和。采用诠释性解释方法进行数据分析。

结果

几乎所有参与者都完成了十一年级或十二年级的学业,但大多数人失业。确定的需求包括社会支持需求、缺乏自信、在提前出院后照顾自己和新生儿的知识与技能。

结论

有必要为首次生育母亲确定其他类型的社会支持,以确保她们能顺利适应母亲角色。

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